NPI: 1376209098 · KAILUA KONA, HI 96740 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 340 | $8K |
| 2023 | 1,272 | $33K |
| 2024 | 944 | $30K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92250 | 673 | 606 | $25K | |
| 92004 | 357 | 318 | $24K | |
| 92015 | 722 | 652 | $7K | |
| 99214 | 78 | 66 | $6K | |
| 99204 | 48 | 37 | $4K | |
| V2784 | Lens polycarb or equal | 142 | 108 | $2K |
| 92340 | 122 | 122 | $1K | |
| V2020 | Vision svcs frames purchases | 14 | 13 | $710.75 |
| V2100 | Lens spher single plano 4.00 | 144 | 133 | $641.92 |
| V2756 | Eye glass case | 139 | 139 | $231.78 |
| V2025 | Eyeglasses delux frames | 117 | 116 | $0.00 |